Summary of Experience in Modified Trans-hiatal Esophagogastrectomy in the Treatment of Siewert Type Ⅱ Adenocarcinoma of the Esophagogastric Junction
Objective To explore the innovation and advantages of modified transhiatal approach(TH)esophagogastrectomy in the treatment of Siewert type Ⅱ AEG,summarize the experience of this improved operation.Methods Retrospective analysis of 12 cases of Siewert type Ⅱ esophageal gastric junction adenocarcinoma treated with modified transabdominal esophageal hiatal approach from February 2022 to March 2023.Results The operation of 12 cases were successfully completed,incision part of left diaphragm with endo-gia during operation,complete lower mediastinal lymph node dissection and digestive tract reconstruction by combining with the left thoracic operation hole,operation time(209±38)minutes,lower mediastinal lymph node dissection(7.1±2.7),esophageal resection length(7.7±0.8)cm,intraoperative bleeding(168±83)mL,postoperative hospital stay(11.6±1.8)days.Conclusion The modified TH approach is safe and feasible for the treatment of Siewert Ⅱ AEG,the difficulty of lower mediastinal lymph node dissection and digestive tract reconstruction is significantly reduced,ensure sufficient length of esophageal incision edge,this surgical method is suitable for extensive development.
modified transhiatal approachSiewert type Ⅱ AEGOrvil anastomosisexperience
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